主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2026, Vol. 26 ›› Issue (4): 583-586.doi: 10.3969/j.issn.1672-1756.2026.04.019

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三级医院肿瘤科护士组织沉默现状及影响因素研究

莫嘉铭 冯旺黎   

  1. 佛山市中医院肿瘤中心,528099 广东省佛山市
  • 出版日期:2026-04-15 发布日期:2026-04-15
  • 通讯作者: 冯旺黎,本科,主管护师,护理组长,E-mail:1257589551@qq.com
  • 作者简介:莫嘉铭,本科,主管护师,护理组长
  • 基金资助:
    佛山市卫生健康局医学科研课题(20200119)

Status and influencing factors of organizational silence among nurses in the oncology department of tertiary hospitals

MO Jiaming, FENG Wangli   

  1. Oncology Center, Foshan Hospital of Traditional Chinese Medicine, Foshan, Guangdong province, 528099, China
  • Online:2026-04-15 Published:2026-04-15
  • Contact: E-mail:1257589551@qq.com

摘要: 目的:调查肿瘤科护士组织沉默现状并分析其影响因素,为改善肿瘤科护士组织沉默水平提供参考。方法:2025年2月—3月,便利选取佛山市18家三级医院的310名肿瘤科护士为研究对象,采用一般资料调查表、护士组织沉默测评问卷、护士情域能力评价量表进行调查,采用多元线性回归分析探索护士组织沉默的影响因素。结果:肿瘤科护士组织沉默测评问卷得分为(58.26±8.68)分。情域能力、年龄、职称、工作年限是肿瘤科护士组织沉默的影响因素(均P<0.05)。结论:肿瘤科护士组织沉默处于中等水平。管理者可以从强化护士个体情域能力与构建组织开放环境着手,并重点培训较低年龄、较低职称、较短工作年限的护士,促进其广开言路,进而改善肿瘤科护士组织沉默水平。

关键词: 肿瘤科;护士;组织沉默;情域能力;影响因素

Abstract: Objective: To understand the current status of organizational silence among oncology nurses and to analyze its influencing factors, in order to provide references for reducing the level of organizational silence among oncology nurses. Methods: From February to March 2025, using a convenience sampling method, 310 oncology nurses from 18 tertiary hospitals in Foshan were selected as the research subjects. Questionnaires used in this study were the general information questionnaire, the Nurse Organizational Silence Evaluation Questionnaire, and the Nurses' Affective Domain Ability Scale. The multiple linear regression analysis was employed to explore the influencing factors of nurses' organizational silence. Results: The score of organizational silence of nurses in oncology departments was 58.26±8.68. Affective domain ability, age, professional title and working years were the influencing factors of organizational silence among nurses in oncology departments (all P<0.05). Conclusion: The level of organizational silence among oncology nurses is moderate. Managers may enhance the individual affective domain capabilities of nurses and create an open organizational environment. They should also prioritize training younger nurses with lower ranks and shorter working years to encourage them to express their opinions freely, thereby reducing the organizational silence level among oncology nurses.

Key words: oncology department; nurse; organizational silence; affective domain ability; influencing factor

中图分类号:  R47;R197